Journal of Modern Nursing Medicine
Journal of Modern Nursing Medicine. 2025; 4: (3) ; 10.12208/j.jmnm.20250118 .
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华中科技大学同济医学院附属协和医院 湖北武汉
*通讯作者: 张婷,单位:华中科技大学同济医学院附属协和医院 湖北武汉;
目的 本文旨在探讨协同护理模式对维持性血液透析患者自我管理行为和控制液体摄入量依从性的影响。方法 取2023年1月-2024年1月间我院维持性血液透析患者100例作为研究对象,在患者及其家属对本次研究完全了解并自愿签订同意书后对其进行分组,研究组执行协同护理模式,参照组执行常规护理模式,观察两组护理差异,列举相关研究数据,包括:自我管理行为评分、临床依从性、生活质量评分,护理满意度,通过针对收集数据对比,判定护理效果。结果 两组数据统计并对比,两组患者护理后自我管理行为评分研究组高于参照组(P<0.05);两组患者总依从率比较研究组高于参照组(P<0.05);两组患者日常生活能力、躯体功能、社会功能、心理功能、生理功能各项生活质量评分研究组高于参照组(P<0.05);护理总满意度对比研究组高于参照组(P<0.05)。结论 协同护理模式应用于维持性血液透析患者,可明显提高患者自我管理行为,增强控制液体摄入量的依从性,同时患者生活质量提升,并且护理满意度较高,效果理想,具有广泛应用价值。
Objective This paper aims to explore the effect of collaborative care model on self-management behavior and fluid intake control compliance in maintenance hemodialysis patients. Methods between January 2023-January 2024 our maintain hemodialysis 100 patients as the subjects, in patients and their families to the study after fully understand and voluntarily signed consent, the group perform collaborative nursing mode, refer to the group to perform routine nursing mode, observe the two groups of nursing differences, listed related research data, including: self-management behavior score, clinical compliance, quality of life score, nursing satisfaction, through the collected data comparison, determine the nursing effect. Results The self-management behavior score of the two groups was higher than the reference group (P <0.05); the study group was higher than the reference group (P <0.05); the daily living ability, physical function, social function, psychological function, physiological function were higher than the reference group (P <0.05); and the study group was higher than the reference group (P <0.05). Conclusion The application of collaborative nursing mode to maintenance hemodialysis patients can significantly improve patients' self-management behavior, enhance the compliance of fluid intake control, improve the quality of life of patients, and have high nursing satisfaction, ideal effect, and have wide application value.
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